Why vein ulcers… …did not heal in the past: INADEQUATE DIAGNOSTIC IMAGING IMPRECISE INVASIVE TREATMENTS …why they may heal now: DUPLEX ULTRASOUND IMAGING FOR VEIN MAPPING EVLT IS PRECISE AND MINIMALLY INVASIVE
Duplex ultrasound perforator vein imaging to access for ablation
Percutaneous fiberoptic laser delivery of thermal energy
Summary Leg ulcers are commonly due to elevated venous pressure in skin from valve weakness resulting in reflux. Results from traditional therapies of Unna boots, stockings, and open surgery are disappointing. (Costly, morbid, disabling) A contemporary treatment consisting of duplex scan diagnosis of perforating veins, then treatment by EVLT, may become the new standard of care.